One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry

Journal of Orthopaedic Surgery and Research
Simon Kwoon-Ho ChowKwok-Sui Leung

Abstract

The purpose of this registry-based retrospective study was to investigate the risk factors related to one-year mortality in displaced intracapsular fragility hip fracture patients. Patients were screened from the Fragility Fracture Registry. Inclusion criterion was displaced intracapsular hip fracture patients with atypical or pathological fractures excluded. One-year mortality was investigated against risk factors including age, gender, past medical history, pre-fracture mobility (PFM), pre-operation ASA grade, delayed surgery over 48 h, post-surgical complications, and length of stay at acute orthopedic ward (LOS). A total of 1050 patients were included for further analysis. Gross one-year mortality was 14.9%. One-year mortality was significantly higher in patients who received non-operative treatment and those who received surgery but delayed over 48 h after admission (both p <  0.001). Male gender (OR = 2.708), advanced age (OR = 1.359), higher risk ASA grades (III to V) (OR = 1.990), past history of gastrointestinal disease (OR = 1.671), and renal impairment (OR = 1.984) were related to higher one-year mortality. The mortality of patients in PFM grade 3 and LOS group 3 was significantly higher (OR = 2.240 and 1.722, respec...Continue Reading

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Citations

May 28, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jared WarrenNicolas S Piuzzi
Sep 8, 2019·Archives of Osteoporosis·Sarath Lekamwasam, Saumyarika Sabapathippillai
Sep 6, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jared A WarrenNicolas S Piuzzi
Mar 29, 2019·World Journal of Orthopedics·Colum DowneyJohn F Quinlan
Mar 3, 2020·The Bone & Joint Journal·Hanlong ZhengYixin Zhou
Nov 28, 2019·BioMed Research International·Qian-Hao YangYou-Shui Gao

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